Heavenly Primary Homecare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

013217 Issued in TX

Legal business name

HEAVENLY PRIMARY HOMECARE, INC.

Practice address

12042 Bail Bond Drive Suite 2
Edinburg, TX 78542-7705

Phone

(956) 318-1554

Fax

(956) 316-0922

NPI assigned

Dec 10, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

George I Soto

Title

Owner

Phone

(956) 318-1554

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1144559741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12042 BAIL BOND DR. SUITE 2",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785427705",
            "telephone_number": "956-318-1554",
            "fax_number": "956-316-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12042 BAIL BOND DRIVE SUITE 2",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785427705",
            "telephone_number": "956-318-1554",
            "fax_number": "956-316-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY PRIMARY HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-318-1554"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "013217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.